Provider Demographics
NPI:1588354229
Name:YOUNG, JENNI YVONNE
Entity type:Individual
Prefix:
First Name:JENNI
Middle Name:YVONNE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:YVONNE
Other - Last Name:HORNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 E 400 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-6311
Mailing Address - Country:US
Mailing Address - Phone:801-426-6624
Mailing Address - Fax:801-426-6645
Practice Address - Street 1:205 E 400 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6311
Practice Address - Country:US
Practice Address - Phone:801-426-6624
Practice Address - Fax:801-426-6645
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant